Minimal hepatic encephalopathy – diagnosis and treatment

Wojciech Pisarek

doi:10.5114/pg.2021.111389

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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4/2021
vol. 16

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abstract:

Review paper

Minimal hepatic encephalopathy – diagnosis and treatment

Wojciech Pisarek

¹

Department of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland

Gastroenterology Rev 2021; 16 (4): 311–317

DOI: https://doi.org/10.5114/pg.2021.111389

Online publish date: 2021/12/08

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Hepatic encephalopathy is a dysfunction of the central nervous system caused by chronic and acute liver disease. It presents a wide spectrum of symptoms from undetectable in a standard clinical examination to hepatic coma. The mildest form of hepatic encephalopathy is minimal hepatic encephalopathy. It significantly influences the quality of life, prognosis, and the incidence of complications. A wide range of psychometric and neurophysiological tests are used in the diagnostics. Treatment is based on the same principles as in overt encephalopathy. The most commonly used drugs include rifaximin, ornithine aspartate, and LOLA.

keywords:

Minimal hepatic encephalopathy – diagnosis and treatment

Wojciech Pisarek 1

minimal hepatic encephalopathy, psychometric tests, neurophysiological test, chronic liver diseases, rifaximin α

Wojciech Pisarek

¹